Assisted living is not a new phenomenon in American society. Historically, some forms of small community centered living arrangements were always available to elderly persons. Services offered by such places were closely comparable to the type of services that today's Assisted Living Columbus facilities provide. The nomenclature "assisted living" was not commonly used, but a variety of synonyms such as board and care homes, domiciliary homes, personal care home facilities, and adult foster care homes were employed under these labels. The emergence and rapid expansion of assisted living (AL) facilities has surprised many people, including elderly people, potential residents and their families, administrators of long-term care facilities, owners and entrepreneurs, and even policy makers and politicians. Elderly people have often misunderstood the definitions, functions, and purposes of such facilities and believed that AL facilities are an extension or a division of the nursing home industry.
Owners and operators of long- term care facilities may perceive AL as small scale nursing homes with fewer operational and staffing problems and therefore a higher return on their in-vestment. Policy makers and politicians who are driven by the needs of their elderly constituents are uneasy about the ubiquitous facilities. They wish to avoid past legislative mistakes regarding the long-term care facilities and are therefore pushing AL toward becoming a highly regulated industry. The cur-rent AL situation can be likened to the proverbial blind men trying to describe an elephant. The one who felt the tail described an entirely different animal than the person who touched the ears. many operators and homeowners opened the doors of their single family residences to nonrelatives of all ages. The reasons for the establishment and operation of these homes varied, but the closing of the mental hospitals, homelessness, the economic necessities of the homeowners, and a sense of owner/operator altruism have been mentioned.
What separated these predecessors of today's Assisted Living Columbus facilities (ALFs) from their modern corporate-style counterparts are several characteristics that have been reported by earlier research. The foremost of these differences was that earlier forms were typically small in scale, housing no more than four people. Because of the small number of residents, many states did not impose any regulatory guidelines for their operation. In contrast, today's ALFs are designed to operate on a much larger scale. In Texas, several ALFs are integrated into continuing care retirement communities (CCRCs) with their own administrators, and dietary, nursing, housekeeping, and marketing staffs. Others are stand-alone facilities, but they are as large as some long- term care facilities.
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A Brief Information About The Assisted Living Columbus